JASON SUPPORT SERVICES INC. NPI 1891655213

NPI Information

  • NPI: 1891655213
  • Provider Name: JASON SUPPORT SERVICES, INC.
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • Address: 3562 OLD VILLAGE DR
    ORANGE PARK, FL
    ZIP 32065
  • Phone: (904) 505-0131

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NPI Details

JASON SUPPORT SERVICES, INC. is an intellectual and developmental disabilities in Orange Park, FL. JASON SUPPORT SERVICES, INC. NPI is 1891655213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3562 OLD VILLAGE DR
ORANGE PARK, FL
ZIP 32065-521
Phone: (904) 505-0131

The provider's authorized official is Ruth J Keili .
The authorized official title is Owner/director and has the following contact phone number (904) 505-0131.

The enumeration date for this NPI number is 11/17/2025 and was last updated on 11/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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